RN Care Advocate

This is a fully remote position, open to applicants in United States.

📋 Description

• Perform phone and video evaluations of members' health status, medications, recent usage, and social determinants of health requirements.

• Develop member-centered care plans with defined objectives and subsequent actions, modifying them as needs evolve.

• Conduct medication assessments and identify discrepancies, adherence challenges, or potential interactions for provider follow-up.

• Collaborate with primary care providers, specialists, pharmacies, DME suppliers, and home health agencies to bridge care gaps.

• Assist members during care transitions, including follow-up after hospital or emergency department visits.

• Link members to community resources for food, transportation, housing, and in-home support.

• Clarify provider instructions and treatment plans in straightforward language, using teach-back methods to ensure comprehension.

• Aid members in preparing for appointments, understanding their benefits, and advocating for themselves.

• Identify clinical red flags and escalate urgent issues to the appropriate provider on the same day.

• Accurately document every member interaction within service-agreement timelines.

• Adhere to consent, HIPAA privacy, and documentation protocols for every interaction.

• Promote care-gap closure, resource connectivity, member-reported experiences, and timely, precise documentation outcomes.

⛳️ Requirements

• Valid, unrestricted RN license in at least one U.S. state.

• Nurse Licensure Compact (multistate) license is highly preferred.

• Residing in the United States.

• Minimum of 3 years of RN experience, including care management, case management, transitions of care, home health, or primary care.

• Proven ability to establish trust with older adults, including those who may be skeptical, confused, or difficult to reach.

• Strong clinical judgment with the capacity to recognize when to escalate concerns.

• Proficient in EHRs, care management platforms, and phone/video communication tools.

• Quick learner of new systems.

• Self-motivated to manage a member load and schedule independently.

• Access to a reliable computer, high-speed internet, and a private HIPAA-compliant workspace.

• Case management certification (CCM) or similar credential is a plus.

• Experience with Medicare, dual-eligible, or older adult populations is advantageous.

• Telehealth or telephonic nursing experience is beneficial.

• Familiarity with SDOH screening tools or community resource navigation is a plus.

• Bilingual skills are desirable; Spanish is preferred.

🏝️ Benefits

• Competitive salary.

• Opportunity to work 100% remotely.

• Flexibility to set your own schedule, from part-time to full-time.

• Self-directed and adaptable work environment.

• Engaging, mission-driven work that makes a tangible difference in members' lives.

• Opportunity to practice nursing with a focus on advocacy and problem-solving.

• Close collaboration with a care navigation team that manages the non-clinical aspects of care.